Inspection on 20/07/06 for Garden Lodge

This inspection was carried out on 20th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Garden Lodge 24/07/07

Garden Lodge 24/10/05

Garden Lodge 12/05/05

Garden Lodge 13/10/04

Garden Lodge 10/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Garden Lodge Philipson Street Walker Newcastle Upon Tyne Tyne & Wear NE6 4EN Lead Inspector Allan Helmrich Key Unannounced Inspection 20th July 2006 01:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Garden Lodge Address Philipson Street Walker Newcastle Upon Tyne Tyne & Wear NE6 4EN 0191 263 6398 0191 2636946 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Manor Care Home Group Mrs Jackie Mead Care Home 41 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (21) of places Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24 October 2005 Brief Description of the Service: Garden Lodge is a modern purpose built care home providing accommodation with personal care for up to 41 residents. The accommodation consists of 2 units, both on the ground floor with the upper floor used for storage and staff facilities. One unit consists of 20 bedrooms with ensuite toilet facilities for frail older people; the other is of 20 bedrooms with ensuite toilet facilities for older people with a dementia. The home does not provide nursing care. Garden Lodge is situated in a residential area of Walker, a suburb to the east of Newcastle upon Tyne. The home is close to local shops and public transport links. The home’s fees range from £355 to £365. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first annual unannounced key inspection visit. The inspection was conducted over two separate days and took 8.5 hours. Time was spent talking to the manager, some care staff, the cook and several residents and their visitors. Some of the home’s care records were reviewed and the systems that maintain residents safety. Questionnaires were provided for residents and visitors to the home and information provided by professional visitors is used in the production of the report. What the service does well: What has improved since the last inspection? Requirements and recommendations made at the last inspection have been addressed. The manager has achieved the Registered Managers Award. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A range of useful information about the home is available to prospective service users. Before being accepted into the home each service users needs are assessed by a senior member of the care team. EVIDENCE: On request the manager was able to provide a copy of the home’s brochure and service users guide. These contained location plans and details to enable prospective residents to make an informed choice about the home. Also a file is kept in the manager’s office with additional information. Four care plans were reviewed and each contained a full assessment of the residents needs obtained prior to offering a place in the home. The files contained care managers assessments and details obtained to limit the possibility of the home offering a place to someone whose needs they could not meet. Each file detailed the residents’ daily living and healthcare needs. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 9 The inspector spoke with one recently admitted resident and her son. They felt the move had gone well, the home had provided a good standard of information and were accommodating regarding their preferences. Another relative of a recently admitted resident was happy with the way this was handled. A respite bed is available in the home but the home does not offer a specialist rehabilitation service. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents’ health and personal care needs are met. Appropriate procedures are in place for the administration of medicines. Residents are treat with dignity and respect. EVIDENCE: Four care plans were reviewed and these contained good quality records for staff to enable them to provide appropriate care. Risks associated with daily living are assessed and minimised whenever possible. Care plans are reviewed regularly and appropriate professional assistance is obtained whenever this is deemed necessary. Whenever possible the home obtain a residents signature to confirm awareness of records held on their behalf. Following an accident to one resident, the manager agreed that one care plan was not changed to adequately reflect the different level of care required. Specific details of residents’ requirements relating to personal and oral hygiene are in place. Although currently no resident has a pressure sore, equipment is Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 11 available to support this area of care. Continence assessments are done by staff and psychological health is monitored and appropriate professional help is obtained as required. The manager is aware of the need for residents to be involved in exercise and this is included in activities done in the home. The records showed that each resident is weighed regularly and that regular health checks are done. The systems for the administration of medicines was checked and found to be good. Staff who dispense medicines are trained and records are maintained for ordering, receiving, administering and disposal. Medicines are stored in a dedicated room and dispensed from trolleys designed for this purpose. The air extraction in the medication room was not working efficiently and the temperature was in excess of that recommended for medicine storage. The manager is aware of this and is currently investigating a way of maintaining the appropriate temperature. On a tour of the premises locks to bedroom and toilet/bathroom doors were found to operate efficiently. Bedrooms contained lockable units for storage of small personal possessions. Two new residents and two visitors spoken with were unaware that keys were available to them. The manager confirmed that keys to bedroom doors and lockable units are available and that new residents would be made aware of this. Residents spoken to confirmed that staff treat them with respect and evidence of this was noted throughout the inspection. The manager in her induction of new staff covers privacy and respect. A telephone is available for residents use. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Residents are supported to access community facilities and make choices. Visitors are made welcome in the home. A healthy diet is offered. EVIDENCE: In the four care plans reviewed there was good detail recorded of residents’ interests and preferred social activities and interests. A life history is obtained together with details of family and friends. This is particularly useful for staff when assisting residents with a dementia. Staff provide activities throughout the day and a record is made of those residents involved and those who choose not to be. Residents were seen to be involved in light activity and also there was a video being shown in one of the home’s lounges. One resident spoken to enjoyed living in the home but was not interested in the activities on offer that day. Seating areas are located throughout the home to enable residents to form small social groups. Two visitors to the home stated they felt they could visit at any time and were always made welcome by the manager and staff. One resident confirmed that when she had visitors she could choose to see them privately. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 13 Residents are supported to use local shops on a regular basis and some residents are supported by staff to shop in Newcastle. Several residents attend a day centre nearby and community church groups visit the home. Some residents handle their own finances supported by their families but where the home are involved a record is kept of all transactions. Each transaction is supported by two signatures and receipts are kept to enable an audit to be done. Menus reviewed demonstrated that a range of healthy foods is provided. A choice is offered at each mealtime. Residents confirmed they enjoy the meals provided and the lunchtime meal observed was unhurried with adequate staff numbers supporting residents in a quiet dignified way. The kitchen is well equipped for a home of this size and a range of foodstuffs to enable the cook to meet individual choice was available. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Complaints are taken seriously and a well-trained staff team protects residents. EVIDENCE: A complaints procedure is provided in the home’s Service User Guide given to each resident on admission. The manager takes complaints seriously and records all issues of dissatisfaction with the service provided. Six complaints were received; two from residents, two from staff and two from relatives. The issues were recorded in a log with how they were resolved. One compliment from a relative was recorded. All staff have received training related to abuse awareness and the manager and some senior care staff have attended an advanced course. Appropriate procedures and Department of Health guidance are available in the home for staff and the manager has undertaken an assessment of staff awareness in relation to protecting residents. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is safe, clean and well maintained. EVIDENCE: The home has two units providing care for older people and older people with a dementia. All living space is on the ground floor with level access to the outside. In addition to lounge and dining areas, seating is provided in corridors and at the entrance to encourage residents to collect in small groups. A good standard of maintenance is provided with the home currently being redecorated and carpeted. The manager is not aware of any advice having been obtained regarding the redecoration of the dementia care unit. The home is clean with no odours noted. One bathroom is out of use as repairs are in progress. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 16 Residents live in a reasonably safe environment. Infection control is promoted, laundry facilities are fitted with equipment that meets disinfection standards and a sluice is provided in each unit. The door to one bedroom requires adjustment to allow it to close onto the rebate. The maintenance contract for servicing the gas appliances was outdated. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Trained staff employed in appropriate numbers support residents. EVIDENCE: Staff levels on the day of the inspection met the agreed levels. Staff rotas provided prior to the inspection showed that the manager is available on weekdays and that seven care staff are on duty each day and four care staff each night. Domestic and catering staff are employed in sufficient numbers to maintain the home and meet residents nutritional needs. No care staff under 18 years old are employed and no-one under 21 years old is left in charge. Staff training needs are identified in supervision and appraisal sessions. Statutory training is reasonably up to date and video training sets have been provided for in-house refresher training. These should not be used to substitute accredited training. Twenty care staff have achieved a National Vocational Qualification (NVQ) in care. Trainees are provided with induction training that meets nationally recognised standards. A senior member of the staff team ‘signs off’ this training. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 18 Two staff files were reviewed that contained appropriate references and Criminal Records Bureau information. Inductions conducted by the home were detailed together with all training undertaken. Staff sign to confirm they have read important policies. The manager uses an employment checklist to demonstrate the homes recruitment process is followed. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. An experienced person manages the home. Systems for self-monitoring are in place and safe working practices are promoted. EVIDENCE: The manager has many years experience of providing care for older people and she has obtained the Registered Managers Award. There are regular meetings involving staff and residents where a good range of issues are discussed. The company has introduced a system of self-monitoring the quality of care provided in the home. From this and the analysis of questionnaires completed by residents and their families the manager is producing action plans to develop and improve the service. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 20 Monies held for residents are recorded in a log and all spending is recorded and signed by two staff members. A receipt is retained for all purchases made for residents by staff. A reasonable standard of health and safety is maintained in the home. Requirements made by the Local Authority Environmental Health Department have been addressed. Fire checks and instruction are conducted and logged. All accidents in the home are recorded. With the exception of the gas safety certificate that was out of date all other maintenance certificates are in place. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard OP9 OP19 Regulation 13(2) 12(1)(a) Requirement Ensure medicines are stored below 25 deg C in accordance with instructions provided. Attend to these health and safety issues; • Ensure the door identified to the manager during the inspection closes onto the rebate. • Obtain a certificate to demonstrate the gas system in the home is adequately serviced. Timescale for action 31/08/06 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP10 Good Practice Recommendations Ensure residents and their supporters are aware that keys are available to bedroom doors and lockable units. This should be stated in documentation provided on entry to the home. Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Garden Lodge DS0000000446.V295461.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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